Title: Independent Predictors of Mortality in Intracerebral Hemorrhage Patients: A Retrospective cross-sectional study
Authors: Lalatendu Swain, Prabhat Nalini Routray
DOI: https://dx.doi.org/10.18535/jmscr/v6i5.84
Abstract
Introduction: Primary (non traumatic) intracerebral hemorrhage (ICH) accounts for approximately 10–15 % of strokes. Morbidity and mortality caused by ICH are high. There has not been reduction of the mortality rate of ICH in the recent decades. Overall mortality also seems to be similar in all regions of the world. The mortality rate of patients with ICH at 30 days varies from 13 to 61%.
Objective: This study was undertaken to analyse and evaluate the frequency and risk factors and independent predictors of mortality in intracerebral hemorrhage patients using CT scan..
Materials and Methods: The present study was a 1-year cross-sectional study, conducted on 450 patients with primary ICH, admitted in the wards and intensive care units of a tertiary care hospital during the period from January 2017 to December 2017.
Results: In this retrospective cross sectional study we analysed 450 patients presented with spontaneous intracerebral hemorrhage. The mortality rate was higher in older age group than younger ones (62.3% vs 37.7%). In this study the location of ICH were was basal ganglia (43.2%), thalamic (26.9%), lobar (17.3%), brain stem (5.1%), cerebellum (3.1%) and multiple hemorrhage (4.4%). The mortality rate of each location was evaluated.
Conclusion: Hematoma volume measurement is an easy and bedside tool to assess mortality within first 30 days. ICH score is a sensitive bedside tool to assess prognosis within 24 h. Early expansion of cerebral haematoma of any topography is an important determinant of in-hospital mortality.
Keywords: Intracerebral hemorrhage, Intraventricular extension, ICH score, GSC score.
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